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The Journal of Bone and Joint Surgery 81:1312-24 (1999)
© 1999 The Journal of Bone and Joint Surgery, Inc.

Current Concepts Review

Current Concepts Review - Rotator Cuff Tear Arthropathy*

KIRK L. JENSEN, M.D.{dagger}, OAKLAND, CALIFORNIA, GERALD R. WILLIAMS, JR., M.D.{ddagger}, PHILADELPHIA, PENNSYLVANIA, I. J. RUSSELL, M.D.§ and CHARLES A. ROCKWOOD, JR., M.D.§, SAN ANTONIO, TEXAS


   Introduction
 
The association between massive tears of rotator cuff tendons and severe glenohumeral degenerative arthritis is complex and poorly understood. The theories that have been proposed to account for rotator cuff tear arthropathy of the shoulder joint include severe, localized rheumatoid arthritis1,2; hemorrhagic arthritis27; microcrystalline-induced arthritis67; and arthritis due to chronic attrition, leading to a massive tear of the rotator cuff tendons19,75. The confusion concerning the etiology of rotator cuff tear arthropathy is in part due to the fact that different authors have described its clinical characteristics in general terms and have given it various names, such as l'arthropathie destructrice rapide de l'épaule58, apatite-associated destructive arthritis30, Milwaukee shoulder40,45,67, and cuff tear arthropathy75.


   Historical Review
 
Adams1,2 and Smith90,91 provided the earliest description of the pathoanatomical features of rotator cuff tear arthropathy, in the nineteenth century. Adams, who was the Regius Professor of Surgery at the University . . . [Full Text of this Article]


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